99-104781` ^' 99-ibY79
CITY OF FEDERAL WAY i PERMIT NO: ELE99-1380
33530 F i rs t Way South "": �.0 "';. �:�.` lr"Q�...: �':,:.: `°; .�, """ ;,: ! i, N`P'i! :.,: ,..,. I S S U E D : 12/16/99
Federal Way, WA 98003 Electrical Inspection Requests 253-.661--4140 BY: HTS
253-661-4000 EXPIRES: 12/09/00
ADDRESS: .....................
NO.: CITY-WIDE
PROJECT DESCRIPTION: INSTALL (1) ,- 87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED <100 AMP SERVICE ADJACENT TO 33414 21ST AVE SW
i= OWNER ________________ ___________________________________ CONTRACTOR =_________= ___________._____________________= LENDER
TCI CUSTOM CONTROLS CORPORATION
19406 68TH AVE S 4630 16TH ST. E., STE B24
KENT WA 98032 FIFE WA 98424
t
1 206-396-3890 206-396-6118 253-732-2004
c
' CUSTOCCO752D
;= CONTRACTORS, PLEASE USE LOCATION CODE "712 VEEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.6% US
STRUCTURE INFORMATION
NEW RESIDENTIAL
MOBILE HOMES
RESIDENTIAL ALTERATIONS
MULTI
FAMILY
NEW
If
SEV
FEED
CONST. TYPE.: V -N
N1E RIJGLE FAM:f-
SERVICE
�SRG
OR FEEDfR ONLY,
"�I1k;EEEDER
0
" "�'�
D , , ;
0-200 AMPS...:
0
... 0
OCC, GROUP..
OUillLAIIIS 0
O
201-400
AMPS.:
0
0
( OCC. LOAD...: 0
�� �� �
I OR kDER (P
T
� .R 6�
401-600
AMPS.:
0
0
FEET.: 0
T/METER"� 0�
-800
AMPS.:
0
05QUARE
NUMBER OF CIRCUITS: 0
801 AND
OVER.:
0
... 0
r
1 _
- -------1------------ ---._..- _ _-------------------------- y--------------------------------------------_--- ----------------------
---#YCOMM.�ALTERATIONS TEMP SERVICE MISCELLANEOUS COMM/IND NEW $ INSPECTION RECORD
( 0-100 AMPS.....: 1 0 SERVICE_____—______ DATE _
0-200 AMPS......: 0 0-100 AMPS....: 0 THERMOSTATS....: 0 101-200 AMPS...: 0 ... 0
201-600 AMPS....: 0 101-200 AMPS..: 0 LOW VOLTAGE....: 0 201-400 AMPS...: 0 COVER.. ----------- DATE _
601-1000 AMPS...: 0 201-400 AMPS..: 0 ; SWIMMING POOL..: O 401-600 AMPS...: 0 ... 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0 SIGNS..........: 0 601-800 AMPS...: 0 ... 0 FINAL.._—__________ DATE _
NUM. OF CIRCIUTS: 0 i OVER 600 AMPS.: 0 TEMP. POLES....: 0 801-1000 AMPS..: 0 ... 0 COMMENTS:
--------------------- ----------------------
----- YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES.......: 72.25 OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMA ON FURNISHE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
1
OWNER OR AGENT DATE
_-----------------------------------
FILE COPY
0_j G
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: 8637
F b UY--. 1s
ELE131
Job Address 33414 21ST AVE SW
Job Site Phone 206-396-3890
Parcel No
Lot No
Subdivision Name
Owner/tenant TCI
Mail Address 19406 68TH AVE S.
Phone 206-396-3890
KENT, WA. 98032
Electrical Contractor CUSTOM CONTROLS
Address/phone 4630 16TH ST E. STE B-24
Electrical contractor license number (copyreq'd):
FIFE, WA. 98424 253-732-2004
CUSTOCCO752D
Expiration Date: 051 04 01
Use of Bldg: ❑ SF Res ® CommE] Other ❑ Multi ❑Church/School
Class of Work: ❑ New ®Alteration ❑ Addition ❑ Repair
Description of work: 1-87 VOLT SINGLE CIRCUIT SERVICE CONNECTION/POLE MOUNTED INSTALLATION OF
POWER SUPPLY UNDER 100 AMP SERVICE.
NEW RESIDENTIAL SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
_ Single Family
-Service or feeder only ........... $44.25
plan review is req'd. Fee is 35% of
(First 1300 ftZ-$67.00; Each add'n 500 ft -$21.50)
_ Service and feeder ................$72.25
Square Feet:
permit fee +$56.25. Add'1 plan
_ Each outbuilding or garage
MOBILE HOME/RV PARK
review for other submissions is
...... $28.00
# of service or feeders
$67.00/hr.
(inspected with service)
_
(First service/feeder-$44.25; Add'n serace/
Each outbuilding or garage ..$44.25
feeder -$28 each)
(Inspected separately)
MISC EQUIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
# of Therm(First -$33.50; add'n-$10.50ea)
Service Feeder
Amps Service or Add'nostats
_ # of Low voltage fire or burglar alarms
Up to 200 amp $ 72.25 $ 21.50
Feeder
First 2500 ftZ-$38.75; Each add'n 2500 ftZ-$10.50
_
201 - 400 amp 89.75 44.25
1 0 to 100 .............. $72.25 ..... $ 44.25
�
* Per WAC 296-46-910(5)(b)(i & ii)
_
401 - 600 amp 123.25 61.50
101 -200 .............. 89.75 ........ 56.25
# of Signs (First sign -$33.50; add'n sign
-
601 - 800 amp 158.00 84.25
_ 201 -400 ............ 169.00........67.00
$16.00 each)
_
_ 401 -600 ............ 197.00........78.75
_ Progress inspection per h hr........... $33.50
_Over 800 amp 225.25 169.00
_ 601 -800 ............ 254.50......107.25
Swimming pool, hot tub, spa............ 67.00
_801- 1000.......... 310.75 ...... 129.75
_
Temporary Pole (up to 60 amp)........ 38.75
-Over 1000 .......... 339.00 ...... 181.00
_
Yard Pole meter loops ...................... 44.25
_ Over 600 volts surcharge ........ 56.25
_
Mast or meter repair ...............61.50
ALTERED SINGLE/MULTI FAMILY
COMMERCIALANDUSTRIAL
Inspections requested before 3:30pm will be
(When inspected separately from the
Altered Service or Feeders
made the following work day, 253.661.4140.
services.)
_ 0 to 200 ......................................$ 72.25
_ 201 -600 .....................................169.00
I hereby certify that I am the owner (or authorized
Service or Feeder
_ 601 -1000 ...................................254.50
agent) of the above named property, or a licensed
_ 0 to 200 amp $ 61.50
-over 1000 .....................................282.75
contractor (or firm's authorized agent) and am
_ 201 - 600 amp 89.75
_ # of circuits
making the installation or alteration in compliance
over 600135.25
(1-5 circuits -$56.25; Add'n circuits, $5 ea)
with all appli able city, county and/or state laws.
_
_ Mast or meter repair 33.50
# of circuits
Temporary Service
Applican Signature:
_
(1-4 circuits -$44.25; Add'n circuits $5 ea)
_ 0 to 60 .........................................$38.75
t
_ 61-100 .........................................44.25
-
_ 101-200 .......................................56.25
_ 201 -400 .......................................67.00
Date.
401-600 .......................................89.75
loC lJ --
over 600 .........................................97.75
C11'Y OF FEDERAL WAY PERMIT NO: ELE99-13,80
33530 First Way South, C L CC TfN:E'C?4L F% c: m m x r ISSUED: 12/16/99
Federal Way, WA 98003 Electrical Inspection Requests 253-661-4140 BY: HTS
253-661-4000 EXPIRES: 12/09/00
ADDRESS: ....................
NO.: ci"ry-WIDE
PROJE(:T DESCRIPI-ION :INSTALL (1) - 87 VOLT SINGLE CIRCUIT SERVICE COHNLCTION/POLf MOUNTED <100 AMP SERVICE ADJACENT TO 33414 21ST AVE SW
OWNER CONTRACTOR LENDER
TO CUSTOM CONTROLS CORPORATION
19406 68TH AVE 3 4630 16TH ST. E., STE B24
KENT UA 98032 WE WA 98424
206-396-3890 206-396-6118
253-732-2004
CUSTOCCO752D
. . . . . . . . . . . . . . M . . . . . . :'.....LG
. . . . . . . .
. . . . . . . . . .
m COINTWIOR1%
Ptuhst ml tOUTION CON 117r.
WK
RICOORIING SALES TAX FOR PROJECTS
VITNIN THE CITY Of FEDERAL IAV.
0 ... 0
601-800 AMPS...:
0 ... 0
301-1000 mpt.':
STRUCTURE INFORMATION
NEW PIIAIRNIIA"
0 ... 0
MORItf HOMES t
RESIDENTIAL ALTERATIONS
CONST. TYPE.: V-#
41W SINGLE fAl.:
SIRUCE
OR fILDER 1LY: 0
OCC. GROUP-:
OUT afILDIASII.: 0
rrRVI� f
AND 0
nl-:600 AMPS ...... : 0
OCC. LOAD...: 0
iip'llff"
FURR (Pr): 0 #
OVER 606 ws-'..! 9
SQUARE RET.: 0
'1
WTMETEP REPAIR.: 0
-------------------- -----------
COMM. ALTERATIONS TEMP SERVICE t
0-2.00 AMPS....... 0 0-100 AMPS..... 0
201-600 AMPS....: 0 101-200 AMPS..: 9
601-1000 AMPS...: 0 201-400 AMPS..: 0
OVER 1000 AMPS..: 0 401-600 AMPS..: 0
NUM. Of IRCIUTS: 0 OVER 600 AMPS.: 0
-----------C 1---.— - — -------- ------ — ---
---- — ---------
TOTAL PERMIT FEES.......: 72.25
MISCELLANEOUS
IRLPHOSTAIS .... 0
LOW VOLTAGE....: 0
SWIMMING POOL—: 0
SIGNS........... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
HUMBER Of CIRCUITS: 0
f CON"/IND NEW *
0-100 AMPS.....:
I ... 0
101-200 AMPS...:
0 ... 0
201-400 AMPS...:
0 ... 0
401-600 AMPS...:
0 ... 0
601-800 AMPS...:
0 ... 0
301-1000 mpt.':
0 ... 0
OVER 1000 AMPS.:
0 ... 0
OVER 600 VOLTS.:
0
MAST METER RPR.:
0
TAX RATE -- 8.6% Its
MULTI FAMILY NEW t
SEV FEED
0-200 AMPS—: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
601-800 AMPS.: 0 ... 0
001 AND OVER.: 0 ... 0
I INSPECTION RECORD
SERVICE DATE
COVER.. DATE
FINAL.. ml!
COMMEN Sl- �!7671
.. . ....... 4. . . .........
PERNITS EXPIRE 190 DAYS AVIER ISSUANCE If 10 YORK IS STARTED.
I CERTIFY INAT THE INl:ORMTIOV FURNISHED NY NE IS TRUt AND CORRECT TO IN[ BEST Of NY KNOVLEDU AID TIE APPLICABLE CITY Of FEDERAL NAY REQUIREMENTS MILL K NET.
OWNER OF AGENT DATE
FIELD COPY